Immunization Quality Improvement for Providers (IQIP)

Immunization Quality Improvement for Providers logo graphic

The purpose of IQIP is to promote and support the implementation of provider-level quality improvement strategies designed to increase vaccine uptake among childhood and adolescent patients in adherence to the ACIP-recommended routine schedule.

IQIP At-A-Glance

IQIP is available for providers that belong to the Washington Childhood Vaccine Program. If you are interested in participating in an IQIP visit, please contact

Every year in Washington State 250 clinics participate in the IQIP process. It was formerly known as the Assessment, Feedback, Incentives and eXchange (AFIX) program. During the past years, many providers were assisted in implementing evidence based quality improvement strategies to increase their immunization rates, qualify for the Immunize WA Award and meet HEDIS immunization measures for Childhood and Adolescents.

Below are resources the help your clinic implement quality improvement strategies to improve immunization rates.

Strategies to Improve Rates by making a Strong Recommendation

#HowIRecommend Videos

Talking with Parents about Vaccines for Infants

Immunity Community - A Conversation Guide for Healthcare Professionals

Addressing Parents Questions and Concerns About Vaccines

Parental Concerns

HPV-Specific Strong Recommendation

Talking to Parents about HPV vaccines

HPVIQ Communication Tools

Strategies to Improve Rates Using the Immunization Information System (IIS)

Running the Coverage Rate Report (PDF) (instructions)

Using the Reminder/Recall system in WA IIS (PDF)

Managing Patient Ownership and Status (PDF) (instructions)

Video: Patient Active/Inactive Status in the IIS for Owning Organizations

Multi-language Reminder Recall Letter for Immunizations and Well Child Visits (Word) - Languages include English, Spanish, Vietnamese, Somali, Russian, Simplified Chinese, Korean, Amharic, Arabic, Ukrainian, and Marshallese.

Strengthen Vaccination Communications

Sample policy statements for clinics to share with patients.

Immunization Action Coalition Sample Vaccine Policy statement for clinics (PDF)

Provider Discussion Guides on Immunizations and Diseases 

Social Media Materials for Clinics

Meningitis B Action Project launches back-to-school resources to encourage vaccination; new social media series titled "Be a Team Player"


Facilitate Return to Clinic for Vaccinations 


HPV Vaccine at Nine 

Update to HPV Forecast 

On January 20, 2023, the Washington State Immunization Information System (IIS) updated the human papillomavirus (HPV) forecast to start at age nine. Read more about this change and find important resources.  

HPV Vaccinations Starts at age 9 

Take a Shot against Cancer! (PDF)

HPV Don’t Wait to Vaccinate (PDF)

Age 9 Announcement Approach Pathway (PDF)  


Additional HPV Materials for Your Practice and Your Patients 

Other Resources for Parents

Clear Answers and Smart Advise about your Baby’s Shots (PDF)

Immunization Schedule

Combo Vaccines (PDF)

Immunization Timing for Children 2021 (PDF)

Other Resources

The Community Guide - Immunizations

Immunization Action Coalition (IAC) Handouts for Staff and Patients

10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting (PDF)

Training for Clinicians

WA Department of Health Immunization Training and Webinars

Immunity Community E-Courses

Vaccine Education Center at Children's Hospital of Philadelphia

Vaccine Training for Medical Assistants